Working alliance in low-intensity internet-based cognitive behavioral therapy for depression in primary care in Spain: A qualitative study
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Título
Working alliance in low-intensity internet-based cognitive behavioral therapy for depression in primary care in Spain: A qualitative studyAutoría
Fecha de publicación
2023Editor
Frontiers MediaISSN
1664-1078Cita bibliográfica
Barceló-Soler A, García-Campayo J, Araya R, Doukani A, Gili M, García-Palacios A, Mayoral F and Montero-Marin J (2023) Working alliance in low-intensity internet-based cognitive behavioral therapy for depression in primary care in Spain: A qualitative study. Front. Psychol. 14:1024966. doi: 10.3389/fpsyg.2023.1024966Tipo de documento
info:eu-repo/semantics/articleVersión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Introduction: Psychotherapies delivered via the Internet have been promoted as an alternative for improving access to psychological treatments. A conceptual working alliance model of blended (i.e., traditional face- ... [+]
Introduction: Psychotherapies delivered via the Internet have been promoted as an alternative for improving access to psychological treatments. A conceptual working alliance model of blended (i.e., traditional face-to-face consultation combined with Internet-delivered psychotherapy) cognitive-behavioral therapy (b-CBT) for depression has been developed in the UK. However, little is known about how this important therapeutic process, namely the working alliance (WA), is developed and maintained in Internet-delivered cognitive-behavioral therapy without face-to-face consultation (i-CBT). The aim of this study was to evaluate the validity of the WA model of b-CBT in Spanish patients with depression receiving i-CBT.
Methods: Forty-one patients suffering from mild-moderate depression were interviewed to assess their experiences of an i-CBT program. Interviews were conducted with participants who received a self-guided application (n = 9), and low-intensity support (n = 10). Three group interviews were also conducted with patients who either did not start the program (n = 8) or did not complete it (n = 6), and with patients who did complete it (n = 8).
Results: Qualitative thematic content analysis was performed using the constant comparative method, which revealed four main themes: “bond,” “goals,” “task,” and “usability heuristics,” all consistent with the existing literature. However, a new subcategory emerged, called “anonymity,” which may highlight the social stigma that mental illness still has in the Spanish context.
Conclusion: Results suggest that the development and maintenance of the WA through i-CBT could offer a better experience of the therapeutic process and improve the clinical impact.
Clinical Trial Registration: Clinicaltrials.gov, identifier: NCT01611818. [-]
Publicado en
Frontiers in Psychology 14:1024966.Entidad financiadora
Government of Aragon | Spanish Ministry of Economy and Competitiveness | European Union ERDF
Código del proyecto o subvención
B17_20R | RD16/0007/0005 | ISCIII; CP21/00080
Derechos de acceso
info:eu-repo/semantics/openAccess
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